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General NPI Number Information
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NPI Number | 1487009643
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Entity Type | Organization
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Legal Business Name | FREEDOM TOTAL WELLNESS, PLLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 3550 PARKWOOD BLVD BLDG B, SUITE 110
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City | FRISCO
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State | TX
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Zip | 75034-1904
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Country | US
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Telephone | 972-294-5886
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 PARKWOOD BLVD STE 103
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City | FRISCO
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State | TX
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Zip | 75034-1904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. MARGARET N. MONZINGO
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Credential | PRACTICE MANAGER
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Telephone | 972-294-5886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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